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Cabinet for health and family services attendance confirmation rev 07/18 tris 1a page _____ of ______ Feel comfortable with your responsibilities as an mwma user Print your name and region and record daily hours in the daily boxes
Record your total hours on the last day
Day 1 day 2 day 3 day 4 day 5 day 6 total first name: These forms should not be emailed as the form revised Please fax or mail them only Visit us on the web at
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